ORCID Profile
0000-0001-6303-2753
Current Organisation
Federal University of Minas Gerais
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Publisher: Springer Science and Business Media LLC
Date: 31-10-2018
DOI: 10.1007/S10067-018-4347-0
Abstract: To compare the performance of different knee osteoarthritis (OA) classification criteria in a subs le of subjects of ELSA-Brasil Musculoskeletal cohort (ELSA-Brasil MSK) in comparison with the clinical-radiographic evaluation of an experienced rheumatologist. A cross-sectional study of the diagnostic accuracy of different knee OA classification criteria: radiographic OA, symptomatic OA, clinical and clinical-radiographic criteria of the American College of Rheumatology (ACR), and the definition proposed by the National Institute for Health and Care Excellence (NICE), UK. The study also evaluated some alternative definitions of OA including a combination of criteria. In total, 250 subjects participated. Only one knee per subject was included. When both or none of the knees were affected, one knee was randomly selected for analysis. OA prevalence, sensitivity, specificity, positive and negative predictive values, and accuracy were presented (CI 95% α = 5%). The mean age was 56.1 years (SD = 8.7), 48.8% female, and 39.2% presented knee OA according to the rheumatologist. The sensitivity and the specificity of radiographic OA were 51% and 96.7%, respectively, while the NICE definition showed 57.0% and 76.3%, respectively. The other OA criteria showed good levels of specificity, but the levels of sensitivity were below 30%. Considering NICE and/or X-ray result in combination, the sensitivity increased (73.4%), while the specificity reduced slightly (73.0%) in relation to the original NICE definition. Radiographic OA showed the best performance, followed by NICE definition, especially in combination with X-ray results.
Publisher: Oxford University Press (OUP)
Date: 04-2007
DOI: 10.1111/J.1526-4637.2006.00225.X
Abstract: Psychological interventions targeting maladaptive pain behaviors and depressive symptoms are commonly used in the management of chronic pain. To compare the effectiveness of psychotherapy, based on client-centered therapy, and exercise for patients with chronic nonspecific low back pain (LBP). Outpatient physiotherapy and psychotherapy departments within a Brazilian academic institution. Thirty-three patients with chronic nonspecific LBP were recruited and randomized to receive client-centered therapy (N = 16) or exercise (N = 17) for 9 weeks. OUTCOME MEASURES AND DATA ANALYSIS: Pain and disability were measured at baseline, 9 weeks, and 6 months by a 10-cm visual analog scale and by the Brazilian Roland-Morris Questionnaire, respectively. Depression was measured at baseline and 9 weeks by the Beck Depression Inventory. Multiple regression analyses with baseline scores as covariates were used to determine the effects of treatment on outcomes. For all outcomes at each time point, the exercise group showed greater improvements than psychotherapy. The difference between groups was statistically and clinically significant for disability at 9 weeks (-4.9 points, 95% CI -9.08 to -0.72). This was the first study to investigate the effects of client-centered therapy and exercise for patients with chronic LBP. Our results showed that client-centered therapy is less effective than exercise in reducing disability at short term.
Publisher: Informa UK Limited
Date: 02-10-2017
Publisher: Springer Science and Business Media LLC
Date: 26-01-2010
Abstract: Low back pain is a highly prevalent and disabling condition worldwide. Clinical guidelines for the management of patients with acute low back pain recommend first-line treatment consisting of advice, reassurance and simple analgesics. Exercise is also commonly prescribed to these patients. The primary aim of this study was to evaluate the short-term effect of adding the McKenzie method to the first-line care of patients with acute low back pain. A multi-centre randomized controlled trial with a 3-month follow-up was conducted between September 2005 and June 2008. Patients seeking care for acute non-specific low back pain from primary care medical practices were screened. Eligible participants were assigned to receive a treatment programme based on the McKenzie method and first-line care (advice, reassurance and time-contingent acetaminophen) or first-line care alone, for 3 weeks. Primary outcome measures included pain (0-10 Numeric Rating Scale) over the first seven days, pain at 1 week, pain at 3 weeks and global perceived effect (-5 to 5 scale) at 3 weeks. Treatment effects were estimated using linear mixed models. One hundred and forty-eight participants were randomized into study groups, of whom 138 (93%) completed the last follow-up. The addition of the McKenzie method to first-line care produced statistically significant but small reductions in pain when compared to first-line care alone: mean of -0.4 points (95% confidence interval, -0.8 to -0.1) at 1 week, -0.7 points (95% confidence interval, -1.2 to -0.1) at 3 weeks, and -0.3 points (95% confidence interval, -0.5 to -0.0) over the first 7 days. Patients receiving the McKenzie method did not show additional effects on global perceived effect, disability, function or on the risk of persistent symptoms. These patients sought less additional health care than those receiving only first-line care ( P = 0.002). When added to the currently recommended first-line care of acute low back pain, a treatment programme based on the McKenzie method does not produce appreciable additional short-term improvements in pain, disability, function or global perceived effect. However, the McKenzie method seems to reduce health utilization although it does not reduce patient's risk of developing persistent symptoms. Australian New Zealand Clinical Trials Registry: ACTRN12605000032651
Publisher: Oxford University Press (OUP)
Date: 05-12-2018
Abstract: Chronic pain is known to increase health care use in high-income countries, but in Brazil, little is known. To investigate the association between chronic pain and health care use among Brazilian older adults and explore the relationship between pain severity and health care use. This cross-sectional study was derived from the population-based study Frailty in Brazilian Older People-FIBRA. Chronic pain, pain intensity and pain-related disability were assessed through additional telephone interviews. Health care use was measured by the number of doctor visits, hospitalization events and high health care use (highest quartile of the distribution for number of doctor visits) in the last 12 months. Associations were tested in regression analyses adjusted for predisposing, enabling and illness-level components from the Andersen Model. The 383 participants were predominantly female (71.0%), mean age was 75.6 (6.1 SD). The prevalence of chronic pain was 30.0%. Chronic pain was associated with number of doctor visits [unstandardized B coefficient 1.48 95% confidence interval (CI) = 0.35–2.62] and high health care use [odds ratios (OR) = 2.27 95% CI = 1.39–3.72]. Pain intensity was associated with high health care use in univariate (OR = 1.13 95% CI = 1.06–1.20) but not multivariate analysis (OR = 1.12 95% CI = 0.94–1.33). Pain-related disability was not associated with any outcome. Chronic pain increased health care use among Brazilian older adults. Improving the quality of primary care management of in iduals at greater risk of chronic pain should be a cornerstone of health policies directed towards reducing the personal and societal burden of ageing.
Publisher: Elsevier BV
Date: 04-2016
Publisher: Elsevier BV
Date: 04-2016
Publisher: Springer Science and Business Media LLC
Date: 03-2017
Publisher: Research Square Platform LLC
Date: 16-02-2023
DOI: 10.21203/RS.3.RS-2570466/V1
Abstract: Purpose. To investigate the association between statins and muscle problems in a highly erse s le of Brazilian civil servants. Methods. We conducted a cross-sectional data analysis at baseline of the ELSA-Brasil MSK cohort. Pain was identified through self-reported symptoms in large muscle groups (lower back and/or hips/thighs). Muscle strength was assessed using the five-times-sit-to-stand (FTSTS) and handgrip tests, with weakness defined as the lowest and highest quintiles of age− and sex−stratified handgrip strength and FTSTS performance time, respectively. Multivariable logistic regression analyses were conducted to investigate the association between statin use and muscle pain and weakness. Secondary analyses explored the impact of different types of statins and their duration of use on the response variables. Results. A total of 2,156 participants (mean age 55.6 ± SD 8.9, 52.8% women) were included. We found no significant association between statin use and muscle problems. Secondary exploratory analysis on different types of statins revealed an association between atorvastatin and muscle weakness, as measured by the five-times-sit-to-stand test (OR 1.94 IC 95% 1.12–3.37), but not by the handgrip test (OR 0.75 IC 95% 0.29–1.42). No evidence was found to support a link between the duration of statin treatment and muscle problems. Conclusions. This study challenges previous claims of an efficacy-effectiveness gap between experimental and observational literature on statins, offering important insights into the widespread prescription of statins in erse populations. The findings indicate that statin use does not contribute to muscular problems.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-2018
DOI: 10.1097/AJP.0000000000000564
Abstract: To investigate the correlates of a recent history of disabling low back pain (LBP) in older persons. The Pain in the Elderly (PAINEL) Study was derived from the Frailty among Brazilian Older Adults (FIBRA) Network Study. Data were collected through face-to-face/telephone interviews and clinical examination. A series of logistic regressions assessed associations between a recent history of disabling LBP and sociodemographic, physical/lifestyle, and psychological factors. Of the 378 community-dwelling elders included in the study (age±SD, 75.5±6.1), 9.3% experienced LBP that was bad enough to limit or change their daily activities during the past year. Those reporting a recent history of disabling LBP were more likely to be women and under financial strain, to present poor self-rated health, overweight, multimorbidity, low physical activity level, fatigue, depressive symptomatology/diagnosis and fear beliefs, and to report decreased sleep time, prolonged sitting time, chronic pain (in location other than lower back), and frequently recurring LBP. The multivariate logistic regression analysis indicated that overweight (odds ratio [OR], 29.6 95% confidence interval [CI], 2.3-391.0), low physical activity level (OR, 4.4 95% CI, 1.3-15.4), fatigue (OR, 10.3 95% CI, 2.4-43.4), depression diagnosis (OR, 4.9 95% CI, 1.3-18.4), and frequently recurring LBP (OR, 4.6 95% CI, 1.0-20.1) were independently associated with a recent history of disabling LBP. Our study supports the link between disabling LBP and other age-related chronic conditions in a middle-income country with a rapidly aging population.
Publisher: Springer Science and Business Media LLC
Date: 2011
Publisher: Springer Science and Business Media LLC
Date: 04-01-2011
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 04-2006
Publisher: Wiley
Date: 05-04-2023
Publisher: Springer Science and Business Media LLC
Date: 31-03-2020
Publisher: Elsevier BV
Date: 03-2008
DOI: 10.1016/J.JCLINEPI.2007.03.017
Abstract: To determine whether trial-design, patient-type, or placebo-type factors influence the size of the placebo analgesic effect in clinical trials. Trials that measured pain outcomes in Hróbjartsson and Gøtzsche's meta-analysis were retrieved and coded for eight factors potentially predictive of placebo effect size. Random effects meta-regression was used to explore the predictive power of each factor on placebo effect size. The factors investigated aspects of trial design (nonstandardized co-analgesia, co-intervention), patients (pain type, patient group, residual pain score), and placebo (placebo type, indistinguishability, structural equivalence). The meta-analysis undertaken in the original study was also repeated to confirm the results. The pooled effect of placebo was 3.2 points on a 100-point scale (95% confidence interval [CI]=1.6-4.7). None of the selected factors influenced the size of placebo effect: the effect of all factors was close to zero, all CIs spanned 0, and P-values ranged from 0.13 to 0.90. This study confirms the findings of previous researchers that, at present, the evidence for large placebo analgesic effects in clinical trials is lacking. Importantly, this analysis also establishes that larger placebo effects are not associated with particular aspects of the trial methodology, patient, or placebo type.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-1998
Publisher: SAGE Publications
Date: 19-05-2023
DOI: 10.1177/26335565231173845
Abstract: To identify multimorbidity patterns, by sex, according to sociodemographic and lifestyle in ELSA-Brasil. Cross-sectional study with 14,516 participants from ELSA-Brasil (2008–2010). Fuzzy c-means was used to identify multimorbidity patterns of 2+ chronic morbidities, where the consequent morbidity had to occur in at least 5% of all cases. Association rule (O/E≥1.5) was used to identify co-occurrence of morbidities, in each cluster, by sociodemographic and lifestyle factors. The prevalence of multimorbidity was higher in women (73.7%) compared to men (65.3%). Among women, cluster 1 was characterized by hypertension/diabetes (13.2%) cluster 2 had no overrepresented morbidity and cluster 3 all participants had kidney disease. Among men, cluster 1 was characterized by cirrhosis/hepatitis/obesity cluster 2, most combinations included kidney disease/migraine (6.6%) cluster 3, no pattern reached association ratio cluster 4 predominated co-occurrence of hypertension/rheumatic fever, and hypertension/dyslipidemia cluster 5 predominated diabetes and obesity, and combinations with hypertension (8.8%) and cluster 6 presented combinations of diabetes/hypertension/heart attack/angina/heart failure. Clusters were characterized by higher prevalence of adults, married and participants with university degrees. Hypertension/diabetes/obesity were highly co-occurred, in both sexes. Yet, for men, morbidities like cirrhosis/hepatitis were commonly clustered with obesity and diabetes and kidney disease was commonly clustered with migraine and common mental disorders. The study advances in understanding multimorbidity patterns, benefiting simultaneously or gradually prevention of diseases and multidisciplinary care responses.
Publisher: Springer Science and Business Media LLC
Date: 19-12-2020
DOI: 10.1007/S00296-019-04496-1
Abstract: Information on measurement properties of translated versions of the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index is still limited. This study investigated the internal consistency, test-retest reliability/agreement, construct validity, and floor and ceiling effects of Portuguese-Brazil WOMAC applied to civil servants at baseline of ELSA-Brasil Musculoskeletal cohort. Each measurement property was evaluated in the overall s le, in the subgroup reporting knee symptoms, and across different sociodemographic strata (except factorial analyses). Separate analyses were performed for pain, stiffness and function dimensions, considering the knee with the worst score (or right knee if same score in both knees). A total of 1740 participants were included (319 completed WOMAC on 2 occasions), mean age 56.0 (standard deviation = 8.9) years, 46.8% male, 42.1% had knee symptoms. In the overall s le, the range of results for WOMAC's dimensions were: internal consistency = cronbach alpha 0.92-0.98 test-retest reliability = intraclass correlation coefficient 0.85-0.97 standard error of measurement (SEM) = 1.38-5.86 smallest detectable change (SDC) = 3.84-16.25 lowest possible score = 38.8%-61.1% (floor effect present) highest possible score = 0.2%-0.9% (ceiling effect absent). Construct validity was confirmed by hypothesis testing and factorial analysis. Results were similar in the symptomatic group, except for higher SEM and SDC, and the absence of floor effects in pain and function dimensions. Portuguese-Brazil WOMAC showed good overall quality in a nonclinical setting. Variability in measurement properties across different strata of the population should be taken into consideration for the design of future studies using WOMAC.
Publisher: Springer Science and Business Media LLC
Date: 12-2012
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 10-2006
Publisher: Wiley
Date: 14-03-2012
Publisher: Wiley
Date: 14-03-2012
Publisher: Springer Science and Business Media LLC
Date: 09-07-2022
DOI: 10.1186/S12889-022-13715-7
Abstract: Evidence of multimorbidity has come mainly from high-income regions, while disparities among racial groups have been less explored. This study examined racial differences in multimorbidity in the multiracial cohort of the Longitudinal Study of Adult Health ( Estudo Longitudinal de Saúde do Adulto ), ELSA-Brasil. The study examined baseline (2008–2010) data for 14 099 ELSA-Brasil participants who self-reported being white, mixed-race, or black. A list of 16 morbidities was used to evaluate multimorbidity, operationalised by simple count into ≥ 2, ≥ 3, ≥ 4, ≥ 5 and ≥ 6 morbidities, in addition to evaluating the number of coexisting conditions. Prevalence ratios (PR) were estimated from logistic models and a quantile model was used to examine racial differences graphically in the distribution quantiles for the number of morbidities. Overall prevalence of multimorbidity (≥ 2 morbidities) was 70% and, after controlling for age and sex, was greater among mixed-race and black participants – by 6% (PR: 1.06 95% CI: 1.03–1.08) and 9% (PR: 1.09 95% CI: 1.06–1.12), respectively – than among white participants. As the cutoff value for defining multimorbidity was raised, so the strength of the association increased, especially among blacks: if set at ≥ 6 morbidities, the prevalence was 27% greater for those of mixed-race (PR: 1.27 95% CI: 1.07–1.50) and 47% greater for blacks (PR: 1.47 95% CI: 1.22–1.76) than for whites. The disparities were smaller in the lower morbidity distribution quantiles and larger in the upper quantiles, indicating a heavier burden of disease, particularly on blacks. Multimorbidity was common among adults and older adults in a Brazilian cohort, but important racial inequalities were found. Raising the cutoff point for defining multimorbidity revealed stronger associations between race/skin colour and multimorbidity, indicating a higher prevalence of multimorbidity among mixed-race and black in iduals than among whites and that the former groups coexisted more often with more complex health situations (with more coexisting morbidities). Interventions to prevent and manage the condition of multimorbidity that consider the social determinants of health and historically discriminated populations in low- and middle-income regions are necessary.
Publisher: Editora Blucher
Date: 08-2019
DOI: 10.5151/SBR2019-587
Publisher: Springer Science and Business Media LLC
Date: 31-10-2011
Publisher: Springer Science and Business Media LLC
Date: 2017
Publisher: Oxford University Press (OUP)
Date: 24-12-2009
DOI: 10.1093/RHEUMATOLOGY/KEN470
Abstract: Estimates of treatment effects reported in placebo-controlled randomized trials are less subject to bias than those estimates provided by other study designs. The objective of this meta-analysis was to estimate the analgesic effects of treatments for non-specific low back pain reported in placebo-controlled randomized trials. Medline, Embase, Cinahl, PsychInfo and Cochrane Central Register of Controlled Trials databases were searched for eligible trials from earliest records to November 2006. Continuous pain outcomes were converted to a common 0-100 scale and pooled using a random effects model. A total of 76 trials reporting on 34 treatments were included. Fifty percent of the investigated treatments had statistically significant effects, but for most the effects were small or moderate: 47% had point estimates of effects of 20 points. Treatments reported to have large effects (>20 points) had been investigated only in a single trial. This meta-analysis revealed that the analgesic effects of many treatments for non-specific low back pain are small and that they do not differ in populations with acute or chronic symptoms.
Publisher: Springer Science and Business Media LLC
Date: 2017
Publisher: Springer Science and Business Media LLC
Date: 06-2023
Publisher: Springer Science and Business Media LLC
Date: 18-04-2008
Publisher: Informa UK Limited
Date: 02-01-2016
DOI: 10.1080/21551197.2015.1125325
Abstract: Malnutrition is a risk factor for noncommunicable diseases related to ageing, and it can also contribute to musculoskeletal health. This study investigated whether nutritional risk is associated with chronic musculoskeletal pain in community-dwelling older persons. Nutritional risk was assessed by the DETERMINE Checklist. Chronic musculoskeletal pain was defined as the presence of pain in the past six months that did not disappear for at least 30 consecutive days. Multivariate logistic regression including confounding variables was used for the analysis. The s le was comprised of 383 participants (age 75.6 ± SD 6.1) the majority were at moderate-to-high nutritional risk (69%) and approximately one third presented chronic musculoskeletal pain (30%). The nutritional risk score was independently associated with chronic musculoskeletal pain: adding one unit in the risk score produces an 11% increment in the odds of presenting pain (OR 1.109, 95% CI 1.022-1.204). In iduals classified into moderate- or high-risk categories also had substantially higher odds (∼90%) of presenting chronic musculoskeletal pain when compared to those in the low-risk category, although our findings were only marginally significant. This is the first study to demonstrate the association between nutritional risk and chronic musculoskeletal pain above and beyond the contributed effects from relevant confounders.
Publisher: Springer Science and Business Media LLC
Date: 19-09-2023
Publisher: Oxford University Press (OUP)
Date: 10-2010
DOI: 10.2522/PTJ.20090332
Abstract: Exercise programs may vary in terms of duration, frequency, and dosage whether they are supervised and whether they include a home-based program. Uncritical pooling of heterogeneous exercise trials may result in misleading conclusions regarding the effects of exercise on chronic low back pain (CLBP). The purpose of this study was to establish the effect of exercise on pain and disability in patients with CLBP, with a major aim of explaining between-trial heterogeneity. Six databases were searched up to August 2008 using a computerized search strategy. Eligible studies needed to be randomized clinical trials evaluating the effects of exercise for nonspecific CLBP. Outcomes of interest were pain and disability measured on a continuous scale. Baseline demographic data, exercise features, and outcome data were extracted from all included trials. Univariate meta-regressions were conducted to assess the associations between exercise effect sizes and 8 study-level variables: baseline severity of symptoms, number of exercise hours and sessions, supervision, in idual tailoring, cognitive-behavioral component, intention-to-treat analysis, and concealment of allocation. Only study-level characteristics were included in the meta-regression analyses. Therefore, the implications of the findings should not be used to differentiate the likelihood of the effect of exercise based on patient characteristics. The results show that, in general, when all types of exercise are analyzed, small but significant reductions in pain and disability are observed compared with minimal care or no treatment. Despite many possible sources of heterogeneity in exercise trials, only dosage was found to be significantly associated with effect sizes.
Publisher: Oxford University Press (OUP)
Date: 27-07-2009
Publisher: Springer Science and Business Media LLC
Date: 13-10-2005
Abstract: Low back pain (LBP) is a major health problem. Effective treatment of acute LBP is important because it prevents patients from developing chronic LBP, the stage of LBP that requires costly and more complex treatment. Physiotherapists commonly use a system of diagnosis and exercise prescription called the McKenzie Method to manage patients with LBP. However, there is insufficient evidence to support the use of the McKenzie Method for these patients. We have designed a randomised controlled trial to evaluate whether the addition of the McKenzie Method to general practitioner care results in better outcomes than general practitioner care alone for patients with acute LBP. This paper describes the protocol for a trial examining the effects of the McKenzie Method in the treatment of acute non-specific LBP. One hundred and forty eight participants who present to general medical practitioners with a new episode of acute non-specific LBP will be randomised to receive general practitioner care or general practitioner care plus a program of care based on the McKenzie Method. The primary outcomes are average pain during week 1, pain at week 1 and 3 and global perceived effect at week 3. This trial will provide the first rigorous test of the effectiveness of the McKenzie Method for acute non-specific LBP.
Publisher: BMJ
Date: 28-11-2020
DOI: 10.1136/BJSPORTS-2019-101205
Abstract: Low back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which in iduals might benefit the most from exercise. In parallel with a Cochrane review update, we requested in idual participant data (IPD) from high-quality randomised clinical trials of adults with our two primary outcomes of interest, pain and functional limitations, and calculated global recovery. We compiled a master data set including baseline participant characteristics, exercise and comparison characteristics, and outcomes at short-term, moderate-term and long-term follow-up. We conducted descriptive analyses and one-stage IPD meta-analysis using multilevel mixed-effects regression of the overall treatment effect and prespecified potential treatment effect modifiers. We received IPD for 27 trials (3514 participants). For studies included in this analysis, compared with no treatment/usual care, exercise therapy on average reduced pain (mean effect/100 (95% CI) -10.7 (-14.1 to -7.4)), a result compatible with a clinically important 20% smallest worthwhile effect. Exercise therapy reduced functional limitations with a clinically important 23% improvement (mean effect/100 (95% CI) -10.2 (-13.2 to -7.3)) at short-term follow-up. Not having heavy physical demands at work and medication use for low back pain were potential treatment effect modifiers-these were associated with superior exercise outcomes relative to non-exercise comparisons. Lower body mass index was also associated with better outcomes in exercise compared with no treatment/usual care. This study was limited by inconsistent availability and measurement of participant characteristics. This study provides potentially useful information to help treat patients and design future studies of exercise interventions that are better matched to specific subgroups. PROTOCOL PUBLICATION: 0.1186/2046-4053-1-64.
Publisher: FapUNIFESP (SciELO)
Date: 06-2012
DOI: 10.1590/S1413-35552012005000014
Abstract: To measure the attitudes and beliefs of Brazilian physical therapists about chronic low back pain and to identify the sociodemographic characteristics that are more likely to influence these attitudes and beliefs. We conducted a cross-sectional study with 100 Brazilian physical therapists who routinely work with chronic low back pain patients. The attitudes and beliefs were measured by the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) and the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Multivariate linear regression models were built to identify sociodemographic characteristics that could be associated with physical therapists' attitudes and beliefs. Mean scores on the biomedical and biopsychosocial factors of PABS.PT were 27.06 (SD 7.19) and 24.34 (SD 6.31), respectively, and the mean score on HC-PAIRS was 45.45 (SD 10.45). The score on PABS.PT(biomedical) was associated with gender and years of professional experience. No variable was associated with the score on PABS.PT(biopsychosocial). The score on HC-PAIRS was significantly associated with the number of back pain patients seen by the physical therapist each month. These results indicate that male and less experienced physical therapists tend to follow a biomedical approach to the treatment of chronic low back pain patients, and that the lower the professional experience the stronger the belief in the relationship between pain and disability. Brazilian physical therapists are uncertain of the factors involved in the development and maintenance of chronic low back pain and about the relationship between pain and disability in these patients.
Publisher: Springer Science and Business Media LLC
Date: 13-01-2011
Publisher: Elsevier BV
Date: 2022
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 29-06-2020
Publisher: Springer Science and Business Media LLC
Date: 23-11-2012
Publisher: Editora Blucher
Date: 08-2019
DOI: 10.5151/SBR2019-550
Publisher: Springer Science and Business Media LLC
Date: 29-05-2012
Abstract: Population ageing is a worldwide phenomenon that has recently challenged public healthcare systems. The knowledge of the burden of chronic musculoskeletal disorders in elders is still limited, particularly in the developing world. This systematic review aimed to investigate the prevalence of chronic musculoskeletal disorders in elderly Brazilians. A comprehensive literature search was performed in five electronic databases (from inception to January 2012) and completed by additional searches in reference lists. Two review authors independently selected the eligible studies and extracted data on participants’ characteristics and rates of chronic musculoskeletal disorders. One review author extracted methodological quality data. We performed a critical synthesis of the results, which were grouped into the diagnoses “chronic musculoskeletal pain” or “specific musculoskeletal diagnoses”. Twenty five studies reporting on a total of 116,091 elderly Brazilians were included. Eight studies (32%) were of high methodological quality. There was a large variation in the measure of prevalence used by in idual studies and in their definition of chronic pain. Prevalence estimates reached 86% for chronic musculoskeletal pain in any location. Studies investigating multiple pain sites found the lower limb and the spine to be the most prevalent complaints (50% each). Arthritis and rheumatism (including osteoarthritis) were the most prevalent specific musculoskeletal diagnoses (9% to 40%), followed by herniated disc (6% to 27%). Despite the growth of the elderly population worldwide, high-quality research on the burden of chronic musculoskeletal disorders in the elderly is still scarce. Future healthcare research focusing on this age group should be a priority in developing countries since their public healthcare systems are not yet fully prepared to accommodate the needs of an aging population.
Publisher: FapUNIFESP (SciELO)
Date: 10-2016
Publisher: Editora Blucher
Date: 08-2019
DOI: 10.5151/SBR2019-597
Publisher: Wiley
Date: 09-2021
DOI: 10.1002/ART.41966
Abstract: For a searchable version of these abstracts, please visit www.acrabstracts.org .
Publisher: Springer Science and Business Media LLC
Date: 08-2018
Publisher: Elsevier BV
Date: 04-2016
Publisher: Elsevier BV
Date: 04-2016
Publisher: Oxford University Press (OUP)
Date: 26-04-2022
DOI: 10.1093/IJE/DYAC084
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 11-2019
DOI: 10.1097/PR9.0000000000000797
Abstract: In Brazil, the prevalence and costs of pain will increase substantially with population ageing. Understanding of pain epidemiology is needed for the development of health care policies that can minimize this projected burden. To investigate the prevalence of pain and associated factors at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Data were collected in public institutions of higher education/research (2008–2010). Pain in the past 30 days and pain attributed to psychological distress (“with psychological attributions”—PPA) were evaluated by the Clinical Interview Schedule-Revised (CIS-R). The independent t -test and χ 2 test investigated associations between sociodemographic/clinical factors and each pain episode. Multivariable analyses including age, sex, leisure-time physical activity, depression, and arthritis/rheumatism, and factors showing univariate associations at the P 0.10 level, were performed. Fifteen thousand ninety-five civil servants were included (52.1 ± 9.1 years, 54.4% female). The prevalence of any pain was 62.4% (95% confidence interval 61.6%–63.2%), and of PPA was 22.8% (95% confidence interval 22.2%–23.5%). Factors associated with any pain and PPA in multivariable analyses included age (odds ratio [OR] 0.97), female sex (OR 1.86–2.01), moderate and vigorous leisure-time physical activity (OR 0.60–0.84), excessive drinking (OR 0.68–0.83), depressive symptoms (OR 1.28–1.96), anxiety symptoms (OR 1.63–2.45), sleep disturbance (OR 1.62–1.79), and arthritis/rheumatism (OR 1.32–2.18). Nonroutine nonmanual occupation (manual occupation as reference), body mass index, and smoking were independently associated with either any pain or PPA. This study provided preliminary information on the epidemiology of pain at baseline of the largest Latin American cohort on chronic noncommunicable diseases.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2005
Location: No location found
Location: Australia
Start Date: 2006
End Date: 2008
Funder: Australian Government
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